| NPI | 1407480312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61071378) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: WA RN60721749) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61071378) | |
| Enumeration Date | 2020-02-29 |
| Last Update Date | 2022-11-03 |